Individual
ANGELICA PORRAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
265 SAN JACINTO RIVER RD STE 107, LAKE ELSINORE, CA 92530-4400
(951) 674-9243
Mailing address
265 SAN JACINTO RIVER RD STE 107, LAKE ELSINORE, CA 92530-4400
(951) 674-9243
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
130458
CA
225C00000X
Rehabilitation Counselor
—
—
Other
Enumeration date
05/21/2014
Last updated
06/09/2025
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